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1122 BROADWAY 2016-01-01 MF Import
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1122 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 6:56:08 PM
Creation date
1/23/2017 6:54:27 PM
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Template:
Address Document
Street Name
BROADWAY
Street Number
1122
Imported From Microfiche
Yes
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^Y r��. <br /> CITY OF EVERETT DATE: ��% it., <br /> �� <br /> ELECTRICAL WIRING PERMIT APFLICATION FEE; 3p <br /> JOB ADDRE55 ���n � /P�._,._/���,J � l�,/T n���.� <br /> iENANT /f�U��9� �vlo7m�.�7 Lv — <br /> PROPERTY OWNER S",q/r!P -- <br /> ELECiRICAI CONTRACTOR �//P q,QP�i7 ��. -T�c - <br /> LICENSE N0. �l/6/?/'� S�//�L� EXPIRATION OATE <br /> ADMINISTRATOR � �jr�� � I��?l�./h.� PHONE N0. �'�Yo?//y <br /> VALUE OF WORK yyQ,� QJ) (do not include taxes) <br /> (for commercia-I work <br /> USE OF BUILDING ��,P�jnr�rS� <br /> i, <br /> NOTE: WAC 296-46-140 requires thal plans for electrical work at educational, <br /> institutional or health care facilities be �pproved by the State of <br /> Washington. Applicants with such jobs must show the State-approved p.Lans <br /> before a City of Everett permit will be issued. <br /> WORK TO 9E DONE: <br /> !�/�� � <br /> �Irl �) r /�7%"r' ✓����/!7 J�yD ��2 <br /> i <br /> SIGNED : DATE _ �' ��- �/D <br /> NOTES ANO COMb1ENT5: <br /> � � � � � d � � <br /> JAW 1 9 1�') <br /> D <br /> � CITY OF EVERETT� <br /> Public Waks Dept. <br /> 6/10/87 <br /> 1928H <br />
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